Goudie, Brett W.

Goudie, Brett W. is an individual health care provider with primary practice located at 1 Hoppin St Coro Building, Providence RI 02903-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Goudie, Brett W. can be contacted via phone (401) 444-4612.

Contact Information

Primary practice address
1 Hoppin St Coro Building Providence RI 02903-4141
Phone: (401) 444-4612
Fax: (401) 793-8831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X C10008082 Delaware
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D0068007 Maryland
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD429590 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X RI13511 Rhode Island

Profile Details

NPI number 1679627798
LBN Legal business name Goudie, Brett W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated May 3rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679627798 NPPES
New Jersey MEDICAID 109592
New Jersey MEDICAID 1679627798
New Jersey MEDICAID 4110510
New Jersey MEDICAID 101712508

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